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General NPI Number Information
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NPI Number | 1023419017
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Entity Type | Individual
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Provider Name | MAUREEN C OGBONNA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 08/31/2025
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Provider Practice Location Address
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Address Line | 6721 CHESAPEAKE CENTER DR
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City | GLEN BURNIE
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State | MD
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Zip | 21060-6572
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Country | US
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Telephone | 410-863-1285
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Fax | 410-863-1287
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Provider Business Mailing Address
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Address Line | 8229 HICKORY HOLLOW DR
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City | GLEN BURNIE
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State | MD
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Zip | 21060-8721
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Country | US
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Telephone | 214-395-6891
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 22245
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License Number State | MD
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